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Licensing details for: 440

Name: BOSTROM, ELISABETH KRISTINE

License Type: RDH Alternative Practice

Primary Status: Delinquent

Previous Names: BOSTROM-BURGHOFF, ELISABETH K BOSTROM, ELISABETH K

Address not disclosed

Issuance Date

September 17, 2012

Expiration Date

October 31, 2020

Current Date / Time

June 7, 2025
9:27:6 AM

License Relationships

Registered Dental Hygienist Alternative Practice to Dentist

License/Registration Role: Registered Dental Hygienist Alternative Practice

Related Party Role: Dentist

Name: RYAN, ROBERT NORUS

License/Registration Type: Dentist License

License Number: 21642 Primary Status: Current - Active

Address :
1419 Rim Rock Dr.
CHICO CA 95928
BUTTE COUNTY

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